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SkydiveNFlorida

Prolotherapy.... why not?

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Has anyone had prolotherapy? I sprained my ankle quite some time back and instead of resting or going to the doctor, I decided to ignore it. Partially because I didn't want to pay $$ to the doctor that I could spend jumping... and partly because I didn't want to hear "don't play sports".

Well, i've finally seen an orthapedic dr, and decided to give prolotherapy a go. It is supposed to strengthen ligaments & tendons, increasing overall size up to like 40%. I have read about people doing this for pain, or just to have increased strength in joints...

So, this gets me thinking, why not do it in my other ankle? And, my knees frequently bother me, why not treat them, too? ... Is there any downfall to this?

Your thoughts/experiences. ?

Angela.



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Angela, a LOT of people do the same thing with injuries to the joints. After a hard AFF landing in september where i hyperextended and rotated my right knee, I have a a complete rupture of my ACL and a tear of the medial meniscus. After a month of treating it on my own with RICE therapy (rest, ice, compression, elevation) without much improvement, I went to the doctor.

I elected to do prolotherapy in hopes of avoiding surgery. I've done three sessions so far. This is what it's like...the doctor preps the site with betadine. He uses a topical anesthetic which is short acting. 25 gauge needle, it's small. He inserts the needle through the patellar tendon of my knee until he hits the tibial plateau. This is the only uncomfortable part. I flinched the last time, but it's not awful. Just....weird. He injects about 1cc of fluid into my knee and then removes the needle.

The fluid he injects is primarily dextrose. It causes an inflammatory response in the joint. So, no taking anti-inflammatory medication for pain afterwards! It causes fibroblast activity to increase. These fibroblasts are cells that make connective tissue, collagen, and elastin. The idea is...the fibroblasts will produce tissue around the weakened ligaments, thereby strengthening them. It can be very effective. By reducing excess, abnormal motion of bones in the joint, it will reduce pain and wear and tear on the joint. This hopefully will reduce the incidence of osteoarthritis as you age.

The way it was explained to me, the only side effects of this treatment is some swellling and possible discomfort after treatment, particularly after the first. If your doctor recommended it, gof for it. I don't think you'll be disappointed. And if surgery were necessary at a later date, it would still be a viable option despite previous prolotherapy treatment.

PM me if you have any further questions....
Take me, I am the drug; take me, I am hallucinogenic.
-Salvador Dali

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thx, Missy! I actually did get a treatment done today. It is all swollen and annoying now, makes it hard to walk.

But, what i'm thinking, is why not do it for non-injured areas? Like, my other ankle? Or, my knees that bother me often and seem weak. Am I going overboard, or could this really be a good idea?

I'll pm you anyhow, cuz I haven't heard from ya in a while:)

Damn, I didn't realize you tore your ACL, that sux! Are you doing better since treatments?

Angela.



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So is it pricey, Dagny? Sounds like it would be...my right knee is messed up from well before I began jumping...and phys therapy was just too damn expensive, and I have too many screwed up joints anyhoo. If I had them working on all my lame joints, I'd be living in the damn phys therapy office...[:/]
~Jaye
Do not believe that possibly you can escape the reward of your action.

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My orthopedic dr charges 100$ per injection. It is supposed to take 6 weeks for healing to occur, then another injection may be done if needed.

I think Missy is on a different plan because they were injecting her weekly, and at 1cc, and I got 3cc and was told every 6 weeks until better.

Talk to your orthopedic dr. Experiencing chronic pain is bad for you. There is an article in January's Scientific American called "Aching Atrophy", a study was done involving a game of selecting cards... long story short, those who had lived with chronic pain continually made poorer choices, while those who hadn't were able to optimize their choices. "Chronic pain, such as that from a bad back, not only saps the joy of living, but also shrivels neurons."
... Anyhow, prolo may be worth it. :)

Angela.



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I tried prolotherapy injection for my herneated discs in my neck following a botched surgery. Only had 1 injection. It sounds great in theory, and there are lots of encouraging testimonials on the internet, but I didn't notice any difference. How many injections did you have? Did you notice any improvement? If yes, after how many injections, and how long? Please RSVP ASAP, that's forum speak! :)

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I've never heard of it, and my sweetheart is a physical therapist. I'll ask her if she's heard of it and what it's all about. I can also ask her about exercises you can do to help that ankle out.

Edited to add: It sure helps when you read the entire thread BEFORE posting. Sheesh. :P
Kevin - Sonic Beef #5 - OrFun #28
"I never take myself too seriously, 'cuz everybody know fat birds don't fly." - FLC
Online communities: proof that people never mature much past high school.

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I've never heard of it, and my sweetheart is a physical therapist. I'll ask her if she's heard of it and what it's all about. I can also ask her about exercises you can do to help that ankle out.

Edited to add: It sure helps when you read the entire thread BEFORE posting. Sheesh. :P



Thanks, Kevin! I would appreciate that:) I was referred for Phys Therapy, and i'll call, but I fear I won't be able to afford it for a few weeks, and if I could do it on my own, even better!

Tink, I only had the one injection, and it was today. So, the only results thusfar are pain and inflammation. lol! I'll update, tho!

Angela.



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Better watch out...
I rarely find guys attractive, in fact only maybe 4 or 5 in 36 years, but my Physical Therapist is really cute, and I must admit having a crush on him! He reminds me of my sweetheart, Carl, at least appearance wise. PT is very hands on! I like that!
Maybe it has a lot to do with the surrendering yourself to their loving care that twists your feelings for them, kind of like they say happens between people and their shrinks!
But Hell, free PT, that's great! Do you guys talkabout body mechanics at home? :)

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My orthopedic dr charges 100$ per injection. It is supposed to take 6 weeks for healing to occur, then another injection may be done if needed.

I think Missy is on a different plan because they were injecting her weekly, and at 1cc, and I got 3cc and was told every 6 weeks until better.

Talk to your orthopedic dr. Experiencing chronic pain is bad for you. There is an article in January's Scientific American called "Aching Atrophy", a study was done involving a game of selecting cards... long story short, those who had lived with chronic pain continually made poorer choices, while those who hadn't were able to optimize their choices. "Chronic pain, such as that from a bad back, not only saps the joy of living, but also shrivels neurons."
... Anyhow, prolo may be worth it. :)

Angela.



Thanks for the info, Angela...you know I think I will ask him about it...right before my last ankle surgery in December '01 or '02...honestly don't remember...he did an MRI on my knee and said it wasn't bad enough for surgery yet. Still sounds like a sack of granite when I bend or step up or down, and gets pretty sore after a lot of activity. [:/] Maybe that shot thingy can fix it before it gets a lot worse? I hope so! I think I'll give him a call tomorrow. :)
~Jaye
Do not believe that possibly you can escape the reward of your action.

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$100. for dextrose injection? (sugar water)..????
My ACL snapped (broken in 1/2)...thank god for 4 ligaments in your knee and you can survive o.k. with 3. Inflamation was so horrid- swear it took most of a year before swealing subsided...but has been working absolutely fine for years now as long as I keep exercising the 3 ligaments I have in that knee.

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dextrose (sugar water) solution, injected into the ligament or tendon where it attaches to the bone- causes a localized inflammation in weak areas which then increases the blood supply and flow of nutrients and stimulates the tissue to repair itself....



Doesn't our body when injured already swell and inflamation increases blood supply and flow of nutrients to stimulate tissue to repair itself????
Re: "rest injury until swelling subsides"

SMiles;)

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That's medicine for you!
I have spent over 100 grand on my neck in the last 4 years and gotten no where but worse! If you took your car to a mechanic to get it fixed, and they listened for 5 minutes, left the room, then either told you they couldn't help or just gave you a pill to take that didn't help either, then sent you away empty handed with a broken car, but still sent you a 200$ bill, what would you do? The present state of medicine is a shambles! It's not fair! No medics seem to know what they are doing, nor do they care about actually addressing and fixing the problem! How dare you want your money's worth from a medic! Why is this? How can we change this? >:(

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please do! My email is annbrolly@earthlink.net. Prolo sounds magnificent if you read about it, but so many things do. My prolo man said don't believe everything you read, especially not on the net. I was discouraged! [:/]
If it helps I would love to try it again!
The beauty of prolo is that, while expensive for just sugar water, it is just that, so fewer side effects from foreign, exogenous substrates! :)

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No medics seem to know what they are doing, nor do they care about actually addressing and fixing the problem! How dare you want your money's worth from a medic! Why is this? How can we change this?



Education- for one see the proper doctor, (proper diagnosis of a rheumatologist) learn everything you can about your body's inflammatory process and medications that specifically control it.

Many of our bodies inflammatory response system does not work normally- and anti-inflammatory drugs are perscribed that do not target the body's immune system or control the process of inflammation.

Without the proper diagnosis of a rheumatologist, patients may take medications such as corticosteroids or nonsteroidal anti-inflammatory drugs (NSAIDs) that reduce symptoms such as pain, swelling, and joint stiffness. These medications can make you feel better temporarily. However, the drugs only relieve the disease's signs and symptoms-they don't control the disease progression. Even if you are feeling better, your disease actually may be worsening, leading to serious health problems.

Biological response modifiers---Remicade- Generic Name -Infliximab
This new class of biologic agents has been shown to have substantial benefits. Remicade targets the body's immune system to control the process of inflammation, significantly reducing disease activity.

Tumor necrosis factor alpha (TNFa) is a chemical produced by the body. It is responsible for recruiting immune cells to different tissues where they cause inflammation, swelling, pain, warmth and redness (and other damage). High concentrations of TNFa are found in a variety of infections and in inflammatory diseases, such as rheumatoid arthritis and Crohn's disease.

Remicade is a monoclonal antibody that is formed by combining portions of human and murine (mouse) antibody molecules. It targets and neutralizes TNFa, thus decreasing the inflammatory response.

SMiles;)

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Say, you seem to know a lot about this, and right up my alley too! I got degrees in Biochemistry, & Molecular Biology, minor in Physics, and a master's degree in Physical Chemistry. I went to med school for most of my first year, but got tired of memorizing so I stopped to go to grad school, biggest mistake of my life!!!!!!!!!
I would love to talk more about this, but not here in public. Can I have your email address? Mine is annbrolly@earthlink.net
Thanks for your efforts and interest!
:)

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Apparently there are pitfalls to prolo-
A spine specialist told me today that prolo generates or stmulates the formation of excess scar tissue in the area, so if you have already had surgery, boo hoo, bad move, it's a bad idea 'cause of surgery already having generated too much in the area!
Need to know more!
So many things sound good until you hear the side effects. Wish I knew what I was getting into before surgery. I got bamboozled, and conned by a neurosurgeon who was just trying to keep his job- did an archaic highly invasive foramenotomy on my neck which rendered me vegetative, pretty much!
Just say NO to surgery! Do lots of research first! Don't get scared into it last minute like I did, or told it will be conservative, which it never is! :(

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Ann, I hear ya on the pitfalls. But, I had read that it was a good alternative to surgery due to the fact that scar tissue was not generated. The tissue generated is supposed to be flexible tissue like that of the tendons/ligaments. .. but, of course, you can't believe everything you read, either. I still assume that any scar tissue that would indeed form would be lesser in quantity than that which would form as a result of invasive surgery.

If you're in a vegetated state from surgery, i'm sure you can sue if you didn't sign paperwork that waived your rights. If you did sign paperwork, there isn't much you can probably do. What state are we talking here? I thought you were an active jumper, how did this affect your skydiving??

Yeah, this injury is not one which would require surgery. It was just a sprain which, due to my lack of attention to it, has become chronic. Hopefully prolo will help/heal it. The procedure hurt, and the area was very tender yesterday and early today, but it is feeling better today. I'll definitely update as time passes. I've also started taking Glucosamine/condroitin & MSM.

:) Take care.
Angela



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Skydiving was my life! Had surgery 4 years ago- went back to jumping- jumped all spring and summer with my Sweetie in DeLand, nearly every day- did Cross Keys 4 point 106 way-had the time of my life-got to go in the hero slot, last out of the Cassa behind Carl- went to WFFC couple weeks later and couldn't breathe-got scared, went to hospital- been chasing problem ever since- back in San Diego jumped a lot at Perris on pain pills, but they make it real hard to focus- after jumping need ice pack on neck-have jumped since but not regularly like used to-used to never miss a weekend- jumped 4-5x/day sometimes more but never<3-4. Wish I could get fixed so I could move to Florida and resume jumping with Carl-want to do big ways in worst way- Drs say no way, too dangerous with neck like it is, may end up paralyzed! I will jump though-don't care if it makes me paralyzed-will worry about that then- now I find enormous pleasure packing Carl's parachute, but sad when have to watch others walk to plane and land hooploring and high fiving! Went to Nationals to be alternate on Carl's 10-way team, but had to return next day 'cause Daddy got worse and died within 7 hours of returning from Florida [:/]:(

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Say I notice you're from South Beach. In college I was in love for the first time with a guy named Scott Austin I used to teach SCUBA with and spear fish with and travel to Mexico for SCUBA trips etc... We took flying lessons together in Santa Cruz, CA.. He wanted to sail around the World, but I wanted to go to Medical School. He left for trip around the World then returned to get his captain's lisence and drive a dive boat living in Key West. Occasionally he flies out at DZ. If I could turn back the clock I would have gone with him as planned and be working in the sun having fun on the dive boat with him living in Key West SCUBA diving and skydiving down there. Unfortunately he just got a girl pregnant down there and had the kid so he married her. There goes that dream, oh well! If you love someone don't let them get away! In my 20s though my ambitions far exceeded my desire for romance and just having fun! :S:(

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So much for my alias, but Hell, I go by Tinkerbelle so much in normal life, it was really no secret to begin with! B|
Yeah I was surprised when the spine guy told me about scar tissue forming as a result of prolo today!
I must research this issue further... maybe someone out there knows more-I'm into information, can't ever get enough of that!
"The more you know, the more you know you don't know"
and as they say in Grad school- "You learn more and more about less and less 'till you become mentally unbuttoned" I know that sure must have happened to me, long ago!

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I had a sprained ankle I did not tend to and it has become chronic for years, gets worse over time. Whenever I see people in casts all sad I tell them to cheer up, at least you didn't sprain it! Bones heal! Tendons and Ligaments don't seem to!
Don't drink milk, better for the bones to break than the joints to give way, that's what I always say!
Tell me if gucosamine, chondroitin works too. I have heard both sides- it helps VS there is no way for those substrates to be absorbed through the stomach and end up in the right place to do any good in high enough concentration. Also, if the glucosamine makes a fibrous matrix within which the chondroitin, platelets and other body tissues are to deposit, how is it that that only occurs at the proper joints, not elsewhere in the body where it could lead to some obstruction?! Maybe a targeted injection of those componds would be preferable. Don't know if that is done? Damned wish I had finished med school! :S

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Awe, sweety, you are too funny! Of course i'll be out to jump! :D Probably Saturday. I jumped on it when it was initially sprained and hurt like hell. I think I can handle a little muscle pain from a tiny needle. hehe. You're sweet, thanks! Oh, and Rory would make it out with or w/o me, so at least one of us would be there.

Annie (since you prefer that;)), you are too funny! Ever think that you may think too much? j/k :P I respect that you have given much thought to this, and, honestly, I wish I could answer some of your questions. Here is an article on how Glucosamin & Condroitin work http://www.glucosamine-arthritis.org/glucosamine/how-does-glucosamine-chondroitin-work.html. Hopefully it answers some of your questions:)

Angela.



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